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#我国超500万中小学生脊柱侧弯 #
The topic rushed to the hot search
After reading it, many parents began to worry
According to CCTV News
After obesity and myopia
Scoliosis
It has become the third most high-incidence disease among children and adolescents in China
And it is increasing at a rate of about 300,000 per year
Scoliosis is a term
Many parents may be unfamiliar
How did it become a high incidence of disease in children?
One screening doctor was surprised
Scoliosis in 30% of the 700 people in a school
In recent years, Dr. Jiang Lei, deputy director of the Rehabilitation Department of Hangzhou Rainbow Fish Rehabilitation Hospital, has been paying attention to the posture and posture of adolescents, "And indeed found that the proportion of scoliosis in adolescents in recent years is increasing year by year." ”
Jiang Lei has been engaged in rehabilitation medicine for 15 years, but the results of a campus screening in 2021 surprised him as an industry insider.
At that time, he participated in a screening at an international school in Shanghai, which included the assessment of posture, and he was surprised by the results: a total of 700 students, the proportion of scoliosis reached 30%, second only to 40% of flat feet.
"We have also done posture assessment before, but more often than not, we found that some students have three types of problems: pelvic displacement or hunchback and flat feet, and parents can choose to intervene or not, but the spinal problem rises so quickly, it is still unexpected." Dr. Jiang also specifically mentioned that "this 30% mainly occurs in the fifth grade of primary school to the second grade of junior high school, that is, around puberty." ”
Dr. Jiang said that from the research data, the proportion of scoliosis in adolescents has also shown an upward trend in recent years, "the latest report of scoliosis accounts for 1-3% of the total domestic population, and the proportion of scoliosis in adolescents is 12-15%. ”
Early screening is important
Visual inspection can tell if the spine is crooked
So what exactly is scoliosis?
Scoliosis is a common name for scoliosis, and the spine of a normal person should look straight from behind, and the sides of the torso are symmetrical. If you look at the shoulders from the front or see the back uneven left and right, it may be scoliosis. "Parents are very concerned about their children's growth, in fact, scoliosis is crooked." Dr. Jiang said that scoliosis is divided into observation below 10 degrees, mild from 10 to 25 degrees, moderate at 25 to 45 degrees, and severe above 45 degrees.
How exactly does scoliosis affect your child? "From the appearance, there will be long and short legs, which will be affected in appearance, and may affect the child's height development, sports performance, and then may affect the respiratory system, and even lead to paralysis." Dr. Jiang said.
Prevent scoliosis, the most important thing is to do a good job of "early screening", when will you start to pay attention?
"I think parents can pay attention to the problem of the spine when they pay attention to the growth of their children." Dr. Jiang said, "When the child is six or seven years old, that is, when he begins to learn to write, parents can take the child for a check-up, and then conduct an assessment once a year." If the annual assessment is not possible, my advice is that there be two assessments throughout the primary school stage, such as grades one to six, one for children in grades one to three and one for the older children in grades five or six. ”
Special reminder to parents
Children who practice asymmetric programs must remember to screen
Why the incidence of scoliosis has gradually increased in recent years, in addition to congenital and unexplained idiopathic scoliosis, Dr. Jiang mentioned, "It has a lot to do with lifestyle." Many children are mainly academic, spending a lot of time at their desks, while outdoor activity time is greatly reduced. ”
Therefore, Dr. Jiang especially reminded to increase the time of children's outdoor activities, in addition, he also specially reminded parents to pay attention to: the height of the child's chair is adjusted to 90 degrees of knee joint bending, the feet are on the ground, the desk tries to use a learning table with an inclined function, so that the neck is not too forward, but buying a learning table is not once and for all, parents should pay attention to adjusting the height of the table and chair every six months according to the height of the child.
In addition, there are many children who participate in extracurricular cultural and sports training now, "If children have a period of time to learn asymmetrical instruments and sports, such as fencing, violin, I recommend that they should do a screening." These statically controlled movements are practiced for several hours, and the probability of scoliosis will be greater. Dr. Jiang said that scoliosis occurred in direct contact with a child who practiced unilateral instruments, but because of parental negligence, scoliosis developed from 15 degrees to 30 degrees in half a year.
In addition, Dr. Jiang also reminded that the incidence of scoliosis girls is 5-7 times that of boys, so parents should also pay special attention.
Self-test scoliosis, quick test
Self-test action 1: Relax and stand
Requirements: Choose a wall with a sign line, let the child stand about 10 cm away from the wall, the feet are facing forward, not outside the eight, parents observe from behind to see if some of the sign points are symmetrical.
Observation points:
Head: Looking from behind, the two ears and the side face are not the same size, and if they are not the same size, the head may be deflected.
Shoulders: There is no height or low on the left and right shoulders.
Scapula: The scapula is an inverted triangular shape, and parents observe whether the bone protrusions on the upper and lower edges of the scapula are consistent. Pay special attention to the so-called consistency, in addition to the height, but also whether the inside and outside and the flip are consistent.
Waist concave: This place is the thinnest place of the torso, the hands naturally droop, and the gap in the waist of the human body is the lumbar concave. Parents observe whether the two gaps are the same level.
Iliac crest: that is, the position of the belt, use your hands to compare whether it is the same high, if there is a difference between before and after or high and low, it should also be paid attention to.
Self-test action 2: Bend down in the parallel leg standing position
Requirements: Choose a wall with a sign line, the child is standing, and bend forward.
Observation points: This action is also the most accurate action in clinical examination. Parents stand in the back position, looking up section by section, to observe whether the child has a back high, if there is a high back we call it a razor back. If such a problem occurs, it means that his spine is not only shifted, but also spinal rotation has occurred.
Does scoliosis require surgery?
not necessarily
In the outpatient clinic, the most worrying thing for parents is whether the child hunched back must need surgery. Not really.
"Everyone has a correct understanding, scoliosis is not terrible, can be controlled, early detection, can not do surgery." Yang Junlin's team conducted a six-year scoliosis survey of more than 2 million primary and secondary school students in five places, including Guangzhou and Zhongshan. A large number of students with suspect scoliosis were found. "99 percent of these students don't need surgery and can recover through conservative treatment." Yang Junlin told reporters that among these students, more than 80% of the students can recover through simple physical training, more than 10% of the students need to use braces to help treatment, and less than 1% of the students need surgery.
At the peak of bone development, adolescent patients also have a higher rate and degree of deterioration. Mild scoliosis can be achieved with light intervention by early detection, while severe patients require surgery. Girls are 10 to 13 years old, and boys are 13 to 15 years old, which is the peak period of growth and development. Once scoliosis occurs, it accelerates without timely intervention.
Found that the child hunched over and bought a corrective artifact?
Not reliable
The child is hunched over, what do parents think? Director Yang Junlin found in the outpatient clinic that the attitudes of parents are completely different, some parents do not pay attention to it, and some parents are overly anxious. At the same time, more and more corrective artifacts such as "back-up artifacts" and "sitting trainers" have appeared on the Internet. But are these all reliable?
In this regard, experts pointed out that scoliosis should be treated under the professional guidance of a doctor. Braces and others can only design corrective braces from an engineering point of view, but they cannot cover the world. Everyone's spine situation is different, how long the brace is worn, how to exercise the body, how to evaluate and adjust, all need to be guided by the experts of the professional spine center.
In addition, it is particularly important to remind that once the correction period of scoliosis is entered, the correction effect can be seen in 3 to 6 months. Parents must not have the mentality of waiting, if the effect of 3 to 6 months is not good, they should look for other ways in time.
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Source: Qianjiang Evening News, Hourly News, CCTV News, Youth Shanghai, Youth Beijing
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